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Agmt17 Public Agency Retirement Services
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Agmt17 Public Agency Retirement Services
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Last modified
10/11/2017 2:09:40 PM
Creation date
10/11/2017 2:09:16 PM
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Template:
Agreement
Contractor Name
Public Agency Retirement Services
PROJECT NAME
Adoption of the Public Agencies Post-Employment Benefits Trust
Date
10/10/2017
Reso Ref
15620
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EXHIBIT "C" <br /> DATA REQUIREMENTS <br /> Consultant will provide the Services under this Agreement contingent upon receiving the <br /> following information : <br /> 1 . Executed Legal Documents: <br /> (A) Certified Resolution <br /> (B) Adoption Agreement to the Public Agencies Post-Employment Benefits Trust <br /> (C) Trustee Investment Forms <br /> 2. Contribution — completed Contribution Transmittal Form signed by the Plan <br /> Administrator (or authorized Designee) which contains the following information : <br /> (A) City name <br /> (B) Contribution amount <br /> (C) Contribution date <br /> (D) Contribution method (Check, ACH , Wire) <br /> 3. Distribution — completed Payment Reimbursement/Distribution Form signed by the <br /> Plan Administrator (or authorized Designee) which contains the following <br /> information : <br /> (A) City name <br /> (B) Payment reimbursement/distribution amount <br /> (C) Applicable statement date <br /> (D) Copy of applicable premium , claim , statement, warrant, and/or administrative <br /> expense evidencing payment <br /> (E) Signed certification of reimbursement/distribution from the Plan Administrator <br /> (or authorized Designee) <br /> 4. Other information pertinent to the Services as reasonably requested by Consultant <br /> and Actuarial Provider. <br /> It is expected that the City will provide the documents in numbers 1 -4 above by November <br /> 30, 2017. <br /> Page 13 of 13 <br /> ATTY/AGR/2017.217/PARS — SECTION 115 TRUST AGREEMENT <br /> REV: 09-19-17 MI <br />
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